Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TRI-STATE COMMUNITY HEALTH CENTER, INC
NPI 1467401372
Clinic/Center - Federally Qualified Health Center (FQHC) in Cumberland, MD

Active since May 08, 2006CLIA 21D1047001 · Microscopy
12502 WILLOWBROOK ROAD, STE 550, 5TH FLR., CUMBERLAND, MD 21502(301) 723-3940(301) 723-3941 Get Directions Write a Review

NPPES record last updated: November 3, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Tri-state Community Health Center, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRI-STATE COMMUNITY HEALTH CENTER, INC (NPI 1467401372) is a healthcare organization registered as a federally qualified health center (fqhc) in Cumberland, Maryland and active in the NPI registry since May 2006. The organization holds a CLIA Microscopy certificate valid through October 24, 2027 and lists Sheila J Deshong, Cheif Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1467401372
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameTRI-STATE COMMUNITY HEALTH CENTER, INC
Location Address12502 WILLOWBROOK ROAD, STE 550, 5TH FLR.Cumberland, MD 21502-6393
Mailing Address109 Rayloc DrHancock, MD 21750-1518 · (301) 678-5187 · Fax (301) 678-5797
Fax(301) 723-3941
Organization SubpartNo
Authorized OfficialSheila J DeshongCheif Operating Officer · (301) 678-5187
Enumeration DateMay 8, 2006
Last NPPES UpdateNovember 3, 2026
NPPES CertifiedNovember 3, 2026
✔ NPI 1467401372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
12502 WILLOWBROOK ROAD, Cumberland, MD 21502

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tri-state Community Health Center, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

18

Medicare enrollment records show 18 clinicians reassign Medicare billing to Tri-State Community Health Center, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner11
Family Practice3
Obstetrics/Gynecology3
Internal Medicine1

Clinicians, nearest first (18)

Obstetrics/Gynecology
NPI 1831175173
12502 WILLOWBROOK RD SUITE 550
Cumberland, MD 21502
(301) 723-3940
✔ PECOSSame address
Obstetrics/Gynecology
NPI 1619973914
12500 WILLOWBROOK RD
Cumberland, MD 21502
(240) 964-8760
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1093714057
621 KELLY RD
Cumberland, MD 21502
(301) 722-3270
✔ PECOS✔ Accepts Medicare2.5 mi
Nurse Practitioner
NPI 1881338739
621 KELLY RD
Cumberland, MD 21502
(301) 722-3270
✔ PECOS2.5 mi
Family Practice
NPI 1710198494
621 KELLY RD
Cumberland, MD 21502
(301) 723-3940
✔ PECOS2.5 mi
Nurse Practitioner
NPI 1598135659
621 KELLY RD
Cumberland, MD 21502
(301) 722-3270
✔ PECOS✔ Accepts Medicare2.5 mi
Family Practice
NPI 1659494110
621 KELLY RD
Cumberland, MD 21502
(301) 722-3270
✔ PECOS✔ Accepts Medicare2.5 mi
Nurse Practitioner
NPI 1225079098
621 KELLY RD
Cumberland, MD 21502
(301) 722-3270
✔ PECOS2.5 mi
Nurse Practitioner
NPI 1861865750
922 NATIONAL HWY
Lavale, MD 21502
(240) 362-7294
✔ PECOS✔ Accepts Medicare4.7 mi
Nurse Practitioner
NPI 1053306647
22221 WESTERNPORT RD SW
Westernport, MD 21562
(301) 533-3300
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1043712516
22347 NORTHWESTERN PIKE
Romney, WV 26757
(304) 822-3838
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1598039364
261 BERKMORE PL SUITE 1A
Berkeley Springs, WV 25411
(304) 258-5790
✔ PECOS27 mi
Nurse Practitioner
NPI 1841567856
261 BERKMORE PL STE 1A
Berkeley Springs, WV 25411
(304) 258-5790
✔ PECOS27 mi
Nurse Practitioner
NPI 1841625654
1415 EISENHOWER BLVD
Johnstown, PA 15904
(814) 270-6812
✔ PECOS✔ Accepts Medicare43 mi
Nurse Practitioner
NPI 1003845975
354 MILL STREET
Hagerstown, MD 21740
(301) 797-0210
✔ PECOS✔ Accepts Medicare54 mi
Nurse Practitioner
NPI 1639654544
334 MILL ST
Hagerstown, MD 21740
(301) 393-9170
✔ PECOS✔ Accepts Medicare54 mi
Obstetrics/Gynecology
NPI 1831351899
1900 SCENIC DR STE 3326
Georgetown, TX 78626
(877) 800-5722
✔ PECOS1,237 mi
Internal Medicine
NPI 1902905300
1501 S YALE ST STE 150&151
Flagstaff, AZ 86001
(928) 527-4325
✔ PECOS✔ Accepts Medicare1,827 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 21D1047001

Tri-State Community Health Center · Cumberland, MD
Active · expires Oct 24, 2027
CLIA Number21D1047001
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 25, 2025
Certificate Expiration DateOctober 24, 2027
Laboratory DirectorDr. Surendranath Ekanayake
Laboratory Phone(301) 723-3940
Laboratory LocationTri-State Community Health Center12502 Willowbrook Road Ste 550, Cumberland, MD 21502
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tri-State Community Health Center, Inc's NPI number?

The NPI number for Tri-State Community Health Center, Inc is 1467401372. It was assigned to this organization in the NPPES registry on May 8, 2006.

Where is Tri-State Community Health Center, Inc located?

Tri-State Community Health Center, Inc is located at 12502 Willowbrook Road Ste 550, 5th Flr., Cumberland, MD 21502. The listed phone number is (301) 723-3940.

What is Tri-State Community Health Center, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Tri-State Community Health Center, Inc enrolled in Medicare?

Yes. Tri-State Community Health Center, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tri-State Community Health Center, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 4 Medicare specialties reassign their Medicare billing to Tri-State Community Health Center, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (11), Family Practice (3) and Obstetrics/Gynecology (3). Of these, 1 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Tri-State Community Health Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 21D1047001) is associated with this NPI, valid through October 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tri-State Community Health Center, Inc accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Tri-State Community Health Center, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tri-State Community Health Center, Inc was last updated on November 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.